A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. What action by the nurse would use secondary prevention to limit caregiver stress?

Correct Answer: C

Rationale: The correct answer is C: Establishing support groups for caregivers of older parents. This is the best choice for secondary prevention as it involves providing a structured support system for caregivers to share their experiences, receive emotional support, and learn coping strategies. Support groups can help caregivers feel less isolated, provide a sense of community, and offer practical advice in managing caregiving stress. Choice A may help in addressing caregiver stress but lacks the comprehensive support provided by a support group. Choice B is a good suggestion for self-care, but it does not offer ongoing support or address the underlying stressors. Choice D involves delegating tasks but may not address the emotional and psychological needs of the caregiver like a support group would.

Correct Answer: A

Rationale: The correct answer is A because being supportive in any way possible is essential in caring for very poor families. As a nurse, offering emotional support, empathy, and understanding can help build trust and rapport with the family, leading to better health outcomes. Choice B is incorrect because while educating families on free health resources is important, it may not address the immediate needs of very poor families who may require more practical support. Choice C is incorrect because offering medication samples may not always be feasible or sustainable. It is crucial to consider the long-term implications and potential ethical issues related to providing free medication samples. Choice D is incorrect because recognizing the family's poverty should not mean refraining from discussing payment options. Open communication regarding financial constraints can help in finding solutions and ensuring the family receives the care they need.

Correct Answer: B

Rationale: The correct answer is B because comparing and contrasting randomized clinical trials related to learning in elementary school children allows the nurse to identify the most effective strategies backed by scientific evidence. This method ensures that the health education programs are based on proven interventions, increasing the likelihood of improving learning retention. Choice A is incorrect as it relies on anecdotal evidence and personal experiences rather than empirical data from research. Choice C involves developing games, but without referring to research or evidence, it lacks a systematic approach. Choice D suggests using the Internet, which may not guarantee access to high-quality, evidence-based programs.

Correct Answer: B

Rationale: The correct answer is B: Insurance companies and other third-party payers. They play a significant role in pressuring clinicians to use EBP due to their focus on cost-effectiveness and quality care. These entities often require clinicians to adhere to evidence-based guidelines to receive reimbursement, incentivizing the adoption of EBP. Incorrect choices: A: Administrators may see cost savings with EBP, but they do not have the same direct influence on clinicians as insurance companies. C: Nurses recognizing EBP's effectiveness is important but may not be the chief group pressuring clinicians. D: While physicians recognizing EBP's effectiveness is crucial, insurance companies hold more financial influence over clinical practice.

Correct Answer: B

Rationale: The correct answer is B because a knowledge manager can help the school health nurse by evaluating best practices to determine the ones with the highest success rates for weight control in children. By doing so, the nurse can save time and effort by focusing on implementing strategies that have been proven to be effective in addressing obesity. This approach aligns with evidence-based practice (EBP) principles, ensuring that interventions are based on the best available evidence. Choice A is incorrect because simply identifying obese students is not sufficient to address the issue effectively without a plan based on evidence-based practices. Choice C is incorrect as organizing files and handling administrative tasks may help with efficiency but does not directly address the issue of implementing evidence-based practices for obesity management. Choice D is incorrect as setting up a program without evaluating its effectiveness first may not lead to the desired outcomes.